National Branch Director
Email: Staci.Pierce@supremelending.com
Website: http://stacipierce.supremelending.com
Address: 14801 Quorum Drive, Suite 300
 Dallas, TX 75254   (View Map)
 
 
Main: 214-340-5225


Required Fields in Red.
Borrower's Information
What is the Borrower's Name?
First
Middle
Last
What is your Phone?
Home
Cell
 
What is the Borrower's Current Address?
Address
City
State
Zip
Number of Years
Years Months
Own/Rent?
Monthly Payment
What is the Borrower's Former Address?
Previous address is required if you have been at your current address for less than 2 years.
Address
City
State
Zip
Number of Years
Own/Rent?
What is the Borrower's Family Status?
Marital Status
No. of Dependents
Ages
 
 
 
 
Current Employer
Employer
Address
City
State
Zip
Years Employed in this Profession
Years on Current Job
Years Months
Position/Job Title
Self-Employed?
Work Phone Number

ext.
Previous Employer
(only if less than 2 years at above)
Employer
Address
City
State
Zip
Years Employed in this Profession
Years on Previous Job
Years Months
Position/Job Title
Self-Employed?
Work Phone Number

ext.
 
 
 
 
Co-Borrower's Information
What is the Co-Borrower's Name?
First
Middle
Last
What are your Phone and Email?
Home
Cell
Email
What is the Co-Borrower's Current Address?
Address
City
State
Zip
Number of Years
Years Months
Own/Rent?
 
What is the Borrower's Former Address?
Previous address is required if you have been at your current address for less than 2 years.
Address
City
State
Zip
Number of Years
Own/Rent?
What is the Borrower's Family Status?
Marital Status
No. of Dependents
Ages
 
 
 
 
Current Employer
Employer
Address
City
State
Zip
Years Employed in this Profession
Years on Current Job
Years Months
Position/Job Title
Self-Employed?
Work Phone Number

ext.
Previous Employer
(only if less than 2 years at above)
Company Name
Address
City
State
Zip
Years Employed in this Profession
Years on Previous Job
Years Months
Position/Job Title
Self-Employed?
Work Phone Number

ext.
 
 
 
 

Gross Monthly Income
Please fill out the following information concerning your property.
Base Salary
Overtime
Commission
Bonuses
Other
 
 
 
 
Gross Monthly Income
Please fill out the following information concerning your property.
Base Salary
Overtime
Commission
Bonuses
Other
 
 
 
 
Borrower's Debts
 
Mo. Pymt.
Balance
Car Pymt.
Car Pymt.
Credit Card
Credit Card
Credit Card
Installment Loan
Other (child support/alimony, etc)
Borrower's Assets Balance
Checking
Savings
Money Mkt
401K & IRA's
Other
 
 
 
 
Property Information
Please fill out the following information concerning your property.
Property Type
Purchase Price
Estimated Value (for Refinance)
Down Payment
 
 
 
 
Loan Information
Do you know what type of mortgage you will need?
Purpose of Loan
Desired Loan Amount
If you are purchasing a home, who is your real estate agent?
Have you ever taken any cash out on this property before?
Has your home been listed on the market for sale within the last 6 months?
Is your home currently under remodeling, construction, or have unfinished projects?
Do you currently own any other properties? If 'yes' please elaborate in comments section?
Comments
Comments or any additional information you believe is helpful in processing your application.
  

 
 
 
 


©2017  EVERETT FINANCIAL, INC. D/B/A SUPREME LENDING NMLS ID #2129 (http://www.nmlsconsumeraccess.org)

14801 Quorum Dr., #300, Dallas, TX 75254. 877-350-5225. All rights reserved. Supreme Lending is an Equal Housing Opportunity Lender. This is not an offer to enter into an agreement. Information, rates, & programs are subject to change without prior notice and may not be available in all states. All products are subject to credit & property approval. Supreme Lending is not affiliated with any government agency.

For Texas Borrowers only - Texas Complaints/Recovery Fund Notice (http://www.supremelending.com/docs/TX_C_RFN.pdf)